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目的:观察青光眼滤过术后低眼压性浅前房的临床处理方法及其疗效。方法:选取我院2007年6月至2009年6月89例(133眼)青光眼患者,观察分析术后低眼压性浅前房发生的原因,相应的处理方法结果及临床疗效。结果:本组发生浅前房的17例28眼,发生率21.05%(28/133),其中I级浅前房为19眼,Ⅱ级浅前房7眼,Ⅲ级浅前房2眼。睫状体的脉络膜脱离11例(20眼),I级浅前房为6眼,Ⅱ级浅前房11眼,Ⅲ级浅前房3眼。保守治疗后恢复14例25眼,治愈率89.28%(25/28),手术治愈3例3眼10.72%(3/28)。结论:青光眼滤过术后发生浅前房的概率较高,一般在术后3天内发病,房水滤过过强最为常见,通常大多数患者应用保守治疗能恢复,极少数保守治疗无效时可行手术治疗。
Objective: To observe the clinical treatment and its curative effect of shallow anterior chamber pressure after glaucoma filtration surgery. Methods: A total of 89 patients (133 eyes) with glaucoma from June 2007 to June 2009 in our hospital were selected. The causes of postoperative hypotony with shallow anterior chamber aneurysm, the corresponding treatment methods and clinical efficacy were observed and analyzed. Results: 17 cases (28 eyes) of shallow anterior chamber occurred in this group, the incidence was 21.05% (28/133). There were 19 eyes of grade I shallow anterior chamber, 7 eyes of Ⅱ superficial anterior chamber and 2 eyes of Ⅲ superficial anterior chamber. Ciliary body choroidal detachment in 11 cases (20 eyes), I shallow anterior chamber was 6 eyes, Ⅱ grade shallow anterior chamber 11 eyes, Ⅲ grade shallow anterior chamber 3 eyes. After conservative treatment, 14 cases were recovered in 25 eyes, the cure rate was 89.28% (25/28), and 3 cases (10.72%) were cured by surgery (3/28). Conclusion: The incidence of glaucoma after shallow anterior chamber filtration is high, usually within 3 days after onset, the most common aqueous humor filtration, usually conservative treatment of most patients can be restored, very few conservative treatment is ineffective Surgical treatment.